Document Detail


In utero meconium suctioning may prevent meconium aspiration.
MedLine Citation:
PMID:  15539879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess usefulness of in utero meconium suctioning using endoscopic approach. Materials and METHODS: In utero meconium suctioning under direct endoscopic visualization was successfully performed in 11 fetuses in whom thick meconium was detected upon rupture of the membranes. A gas-sterilized flexible fiberoptic scope with an operational channel was introduced via cervix, and meconium was aspirated from the fetal mouth. Definitive suction was performed in all neonates immediately after birth. RESULTS: Endoscopic meconium suctioning was successfully performed in 11 out of 16 fetuses with retrieval of 3-12 ml of meconium. Only 1 neonate in this series of cases had meconium below the vocal cords and none developed meconium aspiration syndrome postnatally. CONCLUSION: Because fatal meconium aspiration syndrome is largely an intrauterine event, the concept of in utero prophylactic meconium suctioning may serve as an effective modality for its prevention.
Authors:
Boris Petrikovsky
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  19     ISSN:  1015-3837     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2004-11-12     Completed Date:  2005-02-10     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  533-5     Citation Subset:  IM    
Copyright Information:
2004 S. Karger AG, Basel.
Affiliation:
North Shore University Hospital and Nassau University Medical Center, East Meadow, NY, USA. bpetriko@numc.edu
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MeSH Terms
Descriptor/Qualifier:
Amniotic Fluid
Apgar Score
Female
Humans
Infant, Newborn
Meconium Aspiration Syndrome / prevention & control*
Obstetrics / methods*
Parturition
Pregnancy
Suction / methods*
Uterus*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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